| Graham Family Medicine Pllc | |
|
1002 Ne Highway 66 Ste 2 Sayre OK 73662-9305 | |
| (580) 928-2208 | |
| (580) 928-2246 |
| Full Name | Graham Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1002 Ne Highway 66, Sayre, Oklahoma |
| Authorized Official Name and Position | Treva Graham (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5809282208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Family Medicine Pllc 1002 Ne Highway 66 Ste 2 Sayre OK 73662-9305 Ph: (580) 928-2208 | Graham Family Medicine Pllc 1002 Ne Highway 66 Ste 2 Sayre OK 73662-9305 Ph: (580) 928-2208 |
| NPI Number | 1033474085 |
|---|---|
| Provider Enumeration Date | 07/05/2012 |
| Last Update Date | 07/05/2012 |
| Medicare PECOS PAC ID | 2769639780 |
|---|---|
| Medicare Enrollment ID | O20120827000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033474085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Primary |
| Provider Name | Jessica L Kennemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861625691 PECOS PAC ID: 4082753793 Enrollment ID: I20091209000042 |
| Provider Name | Treva J Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881773703 PECOS PAC ID: 0244264083 Enrollment ID: I20100831000647 |
| Provider Name | Franki Elizabeth Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083339154 PECOS PAC ID: 0345619557 Enrollment ID: I20230124003180 |
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